Individual
ERNESTINE DELAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
491 W 24TH ST, HOLLAND, MI 49423-4080
(616) 403-8790
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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